Reports to the Revenue Cycle Manager. The Coding Supervisor, Provider Advocate is responsible for Coding Education of Providers and Coding staff, and supervision of the Coding
staff. Auditing of coding and billing issues, recommending corrective actions, ensuring compliance with all payer and commercial coding and billing guidelines. The position will also provide onsite education to clinical, front
office and Revenue Cycle staff.
CODING DUTIES & RESPONSIBILITIES:
Provides feedback and education to physician and professional staff regarding changes in coding methodology.
Responds to coding and billing questions from physicians, administration, clinical, and AR staff.
Attends regularly scheduled meetings with Providers and Clinic staff to provide updates and coaching feedback.
Maintains effective and collaborative communication with providers, administrative and AR staff.
Assist with clinical coding edits by identifying errors, trends, and proposing necessary corrections through education.
Informs management of issues or concerns identified with coding and billing practices.
Recommend and train clinical staff to eliminate inconsistency and discrepancies.
Performs other duties as assigned or required.
Knowledge of medical terminology and abbreviations; anatomy and physiology; major cardiovascular disease processes.
Knowledge of ICD-10, CPT and HCPCS codes to apply them accurately to any assigned surgery, clinical or hospital charges.
Knowledge of coding conventions and rules established by the American Medical Association (AMA) and the Center for
Medicare and Medicaid (CMS).
Prerequisite training and skills to insure proper documentation within Nextgen.
Experience in abstracting vital information from Medical Records for clinical or hospital records.
Experience in claims management, denials, and appeal processes – a plus
Excellent oral and written communication skills.
Self-motivated, detail-oriented and possess strong critical thinking and decision-making abilities.
Ability to give and take feedback from others in a professional manner.
5 + years in Cardiac clinical operations management experience
2+ years in Cardiology Medical Coding or equivalent a plus
PREFERRED QUALIFICATIONS: Certified Professional Medical Auditor, Certified Evaluations and Management Coder
Ensure that all providers & staff understand the material communicated in the monthly Revenue Cycle Coding Update bulletins.
Work with the Revenue Cycle Management on identified claim denial patterns to understand root cause issues at the Clinical level & reduce or eliminate denials.
Ensure that the physicians and NPs understand incident-to rules. The intent is to move away from the need for the Coding Dept. to revenue all documentation on encounters.
Improve the diagnosis issues. Use updated and correct codes.
Work with the Clinics and Business Office to identify process efficiencies and cost savings.
EXCELLENT BENEFITS & COMPETITIVE PAY